A 2-year-old male is brought to the pediatrician by his parents, who are concerned because they have noticed that one of his testicles seems to be missing from the scrotum.
Upon examination, the doctor confirms that the right testicle is not palpable in the scrotal sac.
The left testicle is present and normal.
The parents are informed about the risk factors associated with this condition.
What condition is most likely being described?
Cryptorchidism.
Inguinal hernia.
Hydrocele.
Testicular torsion.
The Correct Answer is A
Choice A rationale
Cryptorchidism is the medical term for the failure of one or both testicles to descend into the scrotum. The scenario describes a 2-year-old male with one non-palpable testicle, which is the hallmark of cryptorchidism. Risk factors include prematurity and low birth weight.
Choice B rationale
An inguinal hernia is a protrusion of abdominal contents through the inguinal canal. While it can present as a swelling in the groin area, it is distinct from a missing testicle in the scrotum. Examination would typically reveal a palpable mass that may reduce with gentle pressure.
Choice C rationale
A hydrocele is a collection of fluid within the tunica vaginalis, the sac surrounding the testicle. It typically presents as a painless swelling of the scrotum. The testicle is usually palpable within the fluid-filled sac.
Choice D rationale
Testicular torsion is a medical emergency involving the twisting of the spermatic cord, which cuts off blood supply to the testicle. It presents with sudden, severe scrotal pain, swelling, and often nausea and vomiting. The examination would reveal a tender, firm, and retracted testicle. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Tight-fitting underwear can trap moisture and limit airflow in the genital area, potentially creating a more favorable environment for bacterial growth and increasing the risk of urinary tract infections (UTIs), rather than preventing them.
Choice B rationale
Wiping from front to back after urination and defecation is a critical hygiene practice for females to prevent the transfer of bacteria from the rectal area to the urethra. The urethra is shorter in females, making them more susceptible to ascending UTIs from fecal bacteria like *Escherichia coli*.
Choice C rationale
Bubble baths can introduce irritants and soaps into the urethra and perineal area, disrupting the natural flora and potentially increasing the risk of UTIs, especially in children who are already prone to them.
Choice D rationale
Limiting fluid intake can lead to less frequent urination and more concentrated urine. This allows bacteria more time to multiply in the urinary tract and reduces the flushing action that helps to eliminate bacteria, thereby increasing the risk of UTIs. Adequate hydration and frequent voiding are important for preventing UTIs. .
Correct Answer is B
Explanation
Choice B rationale
Regular soda contains high amounts of simple sugars, which will rapidly increase blood glucose levels. For a child with type 1 diabetes experiencing hypoglycemia (low blood sugar), a quick-acting source of glucose like juice or glucose tablets is preferred over regular soda due to its predictable and faster absorption.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.